Oh Maddie you aRE not a pain - you are going through the hell of severe depression and this MH thread is for us to support each other, because we kno what it feels like to be severely depressed.
If your CPN thinks that your depression is so severe that you need to be in hospital she will refer you to a conslt psychiatrist, who will assess you and maybe ask if you are willing to go into hospital, if that's what he/she thinks. Have you ever been in psych hospital before? As you probably know I have been in twice and the only thing I can say is that it means that you don't have to think about anything and that in itself can be a relief. It is quite boring but for me (both times) it was a relief that I didn't have to think about anything.
I know you have 4 young children Maddie. IF you agreed to go into hospital, do you have someone to care for them, as I guess that would be a big worry for you, but you know if you were involved in a road traffic accident or something similar and had to go into hospital, then someone would have to care for them.
I can understand your P getting fedup of hearingthat you want to die, mine gets quite cross when I say that as I think it scares him and people who haven't experiened depression can have no understanding of the feeling that we do actually want to die, well not so much that, we just want to evaporate or expire so as the pain will stop. Can't tell you the number of times I have gone to bed wishing for a heart attack in the night so I couldn't be blamed for taking my own life.
Incidentaly you are most definitely NOT a failure - that is what depression does to us, makes us think these things about ourselves that aren't true.
Would you go into hospital if the psych thought it necessary if you knew the children would we well cared for. It may be just the thing you need - to get away from the stresses and strains of caring for 4 young children and trying to cope with worsening depression. Alos it might make you feel better quicker because of the rest.
Would it be possible for your CPN to have a talk to your P to try to explain to him about severe depression and how it makes us want to die. I may have already said this, so sorry if I have, but I have just bought a book off Amazon called "Climbing out of Depression" by Sue Atkinson. She isn't a medic of any sort but she has been depressed several times. She describes depression as like being on an alien planet, struck blind, deaf, dumb, paralysed and penniless, and because we arre none of those things people can't see that that is how we feel. Certainly rang true for me.
Hope to hear from you again soon. Take care - you are worth it Maddie and you will one day recover and this will be a distant memory. NN xx